Make a Referral

Anyone can refer a patient for hospice care, palliative care, or the Poppen Hospice Residence.

For Patients, Families & Friends

The community referral form below is intended for use by patients, family members, or friends. Once your form is submitted, someone from Harbor Hospice will follow up with you. If you prefer to speak with someone immediately, please call us at 800.497.9559, send a fax to 231.722.0708, or email us at referralliaison@harborhospicemi.org

If you are a healthcare professional, please use the Provider Referral Form.

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